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Ectopic pregnancy

Professional Name Ectopic pregnancy

Summary

An ectopic pregnancy is a condition when the fertilized egg cannot implant into the uterus. It is a very dangerous condition for a pregnant woman. This kind of pregnancy usually cannot continue to birth. It is strongly recommended to remove the embryo to prevent severe damage to the mother.

Description

In a normal pregnancy the fertilized egg travels from the oviduct to the uterus, and then implants into the lining of uterus. An ectopic pregnancy describes the situation where the fertilized egg may not implant into the lining of uterus but somewhere else, mostly the tubes.

Occurrence + Symptoms

As mentioned, a normal egg cell will be fertilized in the oviduct and then travel from oviduct to the uterus, and implant inside the wall of uterus. However, there are several conditions that can cause the fertilized egg to implant somewhere else but not within the uterus. An ectopic pregnancy happens mostly in the oviduct. Ovary, cervix and abdominal cavity are other places where an ectopic pregnancy may occur. The most common cause is an obstruction (stenosis) of an oviduct, which can prevent the fertilized egg from entering the uterus. Such obstructions occur due to scar formation, typically after infections of the female reproductive system (adnexitis), but also after surgery and after a previous ectopic pregnancy in the oviduct. Another well-known cause is endometriosis, which can increase risks for ectopic pregnancy and other difficulties in pregnancy. The symptoms of ectopic pregnancy can be abnormal vaginal bleeding, low back pain, mild cramping on one side of the pelvis and pain in the lower pelvic area. Often this condition will lead to an inflammation of the peritoneum (peritonitis) and its typical abdominal pain, which exacerbates on mild pressure of the abdomen and on physical activity. A regular pregnancy test will also be positive in case of an extrauterine pregnancy.

Consequences + Treatment

An ectopic pregnancy is very dangerous for a pregnant woman. The pregnancy cannot continue to birth. The treatment of ectopic pregnancy includes surgery and medications that end the pregnancy. For the common case of the ectopic pregnancy being located in the oviduct, the tube will bloat due to fetal growth, it will cause severe pain and may rupture. This will lead to a large amount of bleeding and may even shock. Under this condition, emergency medical treatment is urgently necessary and may include blood transfusion, fluid given via a vein, oxygen given with a nasal cannula, and prompt surgery to stop the bleeding.

Possible symptoms of the disease:

missed period, nausea, abdominal pain ('stomach ache')
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